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Sexually transmitted infections after bereavement - a population-based cohort study
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Laboratory Medicine, Karolinska Institutet, Division of Pathology, Karolinska Universitetssjukhuset Huddinge, Stockholm, Sweden.
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2016 (English)In: BMC Infectious Diseases, ISSN 1471-2334, E-ISSN 1471-2334, Vol. 16, article id 419Article in journal (Refereed) Published
Abstract [en]

Background: Loss of a loved one has consistently been associated with various health risks. Little is however known about its relation to sexually transmitted infections (STIs).

Methods: We conducted a population-based cohort study during 1987-2012 using the Swedish Multi-Generation Register, including 3,002,209 women aged 10-44 years. Bereavement was defined as death of a child, parent, sibling or spouse (N = 979,579, 33 %). STIs were defined as hospital visits with an STI as main or secondary diagnosis. Poisson regression and negative binomial regression were used to estimate incidence rate ratios (IRRs) and 95 % confidence intervals (CIs) of STIs, comparing incidence rates of women who had experienced loss to those who had not.

Results: Bereaved women were at significantly higher risk of nearly all STIs studied. The relative risk of any STI was highest during the first year after loss (IRR: 1.45, 95 % CI: 1.27-1.65) and predominantly among women with subsequent onset of psychiatric disorders after bereavement (IRR: 2.61, 95 % CI: 2.00-3.34). Notably, a consistent excess risk, persisting for over five years, was observed for acute salpingitis (IRR: 1.28, 95 % CI: 1.13-1.44), a severe complication of bacterial STIs.

Conclusion: These data suggest that women who have experienced bereavement are at increased risk of STIs.

Place, publisher, year, edition, pages
London, England: BioMed Central, 2016. Vol. 16, article id 419
Keywords [en]
Sexually transmitted infections, Bereavement, Psychological stress, Salpingitis, Condyloma, HPV vaccination
National Category
Infectious Medicine
Research subject
Infectious Diseases
Identifiers
URN: urn:nbn:se:oru:diva-52691DOI: 10.1186/s12879-016-1705-xISI: 000381348600006PubMedID: 27528204Scopus ID: 2-s2.0-84982170152OAI: oai:DiVA.org:oru-52691DiVA, id: diva2:1010215
Funder
Swedish Cancer Society, CAN 2014/417Swedish Society for Medical Research (SSMF)The Karolinska Institutet's Research FoundationAvailable from: 2016-10-03 Created: 2016-09-30 Last updated: 2018-07-17Bibliographically approved

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